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DR. PUTHALATH KOROTH RAGHUPRASAD M.D.

Allergy

Odessa, Texas

Provider NPI: 1073570032

Provider Information:
DR. PUTHALATH KOROTH RAGHUPRASAD M.D.


Practice Location:
2400 E 8TH ST  ODESSA, TX 79761 US
Tel: 432-332-5533  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
TXF8987

Other Provider Identifiers:

IssuerNumberStateType
0357949-01TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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